NPIMap

Organization Active NPI

Vegas Optics, LLC

Doing business as Vegas Vision

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1205011186
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
410 Issued in NV
Legal business name
VEGAS OPTICS, LLC
Doing business as
Vegas Vision
Practice address
2595 S Maryland Pkwy
Suite 106
Las Vegas, NV 89109-8305
Phone
(702) 220-9767
Fax
(702) 796-6636
NPI assigned
Jan 9, 2008
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Troy Chang, O.DNPI 1891871927
Title
Owner
Phone
(702) 220-9767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 410 NV Primary

Addresses

Primary practice location

2595 S Maryland Pkwy
Suite 106
Las Vegas, NV 89109-8305

Mailing address

2595 S Maryland Pkwy
Suite 106
Las Vegas, NV 89109-8305
Phone (702) 220-9767

Other names 1

  • Vegas Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000477 NV Part B Supplier - Clinic/Group Practice 3870518178 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2595 S Maryland Pkwy
Ste 106
Las Vegas, NV 89109
Phone (702) 220-9767

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1205011186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S MARYLAND PKWY",
            "address_2": "SUITE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098305",
            "telephone_number": "702-220-9767",
            "fax_number": "702-796-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 S MARYLAND PKWY",
            "address_2": "SUITE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098305",
            "telephone_number": "702-220-9767",
            "fax_number": "702-796-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-220-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vegas Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.